A Day in the Life of a Perinatal Behavioral Health Coach: Rebecca Flemming

Written By FamilyWell Admin

Ever wondered what it takes to support parents through one of the most transformative periods of their lives? Our Day in the Life blog and webinar series shares the inspiring stories of Perinatal Behavioral Health Coaches who have cultivated meaningful careers supporting the mental health of new and expecting parents.

What Is a Perinatal Behavioral Health Coach?

A Perinatal Behavioral Health Coach is a compassionate guide who supports parents through the emotional ups and downs of pregnancy, birth, and the postpartum period. Trained through FamilyWell’s specialized certification program, these coaches are equipped to help families navigate the often-overlooked mental and emotional challenges of early parenthood.

Their work blends empathy with practical tools—offering validation, education, and evidence-informed strategies to support mental wellness during this life-changing season.

Who Can Become a Coach?

If you care deeply about supporting families, you already have what it takes to begin. Our coaches come from many walks of life: doulas, lactation consultants, sleep specialists, and parents who’ve walked their own journey through perinatal mental health struggles. Clinical experience isn’t required—just a passion for making a difference.

With 1 in 5 new moms experiencing postpartum depression or other mental health conditions—and 75% not receiving the care they need—there’s an urgent need for more support. Perinatal Behavioral Health Coaches are filling that gap, one family at a time. 

What inspired you to become a Perinatal Behavioral Health Coach, and how did you get started in this field?

My journey into perinatal behavioral health coaching began with my own experiences as a new mother. After the birth of my first child, I faced unexpected emotional challenges that made me realize the profound impact of mental health during this transformative time. 

With a background in developmental psychology, I felt compelled to help other mothers navigate similar experiences. I pursued additional training and certifications in perinatal mental health, which allowed me to combine my academic knowledge with my personal insights to support and empower new parents.

Can you describe a typical day in your life as a Perinatal Behavioral Health Coach?

A typical day for me begins with mornings dedicated to my 3- and 1-year-old, who are, without a doubt, the most direct and unpredictable bosses I've ever had. In the afternoons, I transition to seeing clients virtually in one-on-one sessions, working with anywhere from 4 to 8 clients each day. 

Each session is personalized to address the client's specific needs, covering topics like emotional regulation, coping strategies, or relationship dynamics. Between sessions, I stay updated on the latest developments in perinatal mental health and prepare resources to support my clients. My day concludes with reflection and self-care, ensuring I'm ready for the following day.

What are the most common challenges that your clients face during the perinatal period?

The most common challenges include managing expectations versus reality, dealing with identity shifts, and coping with postpartum anxiety or depression. Many parents also struggle with balancing their new roles with existing responsibilities and relationships. Additionally, as a proud member of the 2 under 2 community, I often see clients in similar situations. Many of them are welcoming their second or even third baby, which brings a major transition for their families. Navigating these challenges can be overwhelming, but with the right support, parents can find a path that works for them.

How do you personalize your approach to meet the unique needs of each client?

I start by actively listening to each client's concerns and goals, creating a safe space for them to express themselves. From there, I tailor my coaching strategies to align with their specific needs, preferences, and circumstances. This might involve developing personalized coping strategies, mindfulness exercises, or communication techniques, ensuring that each client feels supported in a way that resonates with them personally.

What are some of the most rewarding aspects of your job?

Seeing the transformation in my clients is profoundly rewarding. Watching them grow in confidence, embrace their new roles, and develop a deeper connection with their children and partners is incredibly fulfilling. It’s a privilege to witness their resilience and to be a part of their journey toward a more balanced and joyful life.

Can you share a memorable success story/proud moment from your coaching practice?

One of my proudest moments was working with a mother who struggled with severe postpartum anxiety. Initially, she felt overwhelmed and isolated, unsure of how to navigate the challenges of new motherhood while coping with intense anxiety. Through our sessions, we focused on developing practical strategies to manage her anxiety, including mindfulness exercises that helped her stay grounded in the present moment and positive self-talk techniques that reinforced her inner strength and resilience.

As she gradually embraced these tools, I witnessed a remarkable transformation. She not only learned to manage her anxiety more effectively but also began to thrive, rediscovering joy and confidence in her role as a mother. Her progress was inspiring, and it wasn't long before she decided to share her journey with others.

Determined to support fellow mothers experiencing similar struggles, she became an advocate in her community. She organized support groups, shared her story openly, and provided a much-needed voice of understanding and encouragement. Watching her transition from a place of fear to empowerment and seeing her profound impact on others was not only deeply rewarding but also a powerful testament to the transformative power of coaching and personal growth.

What types of techniques or strategies do you use to support your clients' mental and emotional well-being?

I use a combination of Cognitive Behavioral Therapy (CBT), mindfulness practices, and motivational interviewing. These techniques help clients identify and reframe negative thought patterns, stay present, and find intrinsic motivation for positive change. Additionally, I emphasize self-care and encourage building a supportive community around them.

What’s your #1 piece of advice for new or expecting parents? 

Trust yourself and your instincts. It's important to listen to your inner voice because it often knows what’s best for you. While advice from others and various resources can be incredibly valuable, they are merely guides, and you are the expert on your own life. 

You understand your unique situation, your goals, and your needs better than anyone else. Embrace your personal journey with all its ups and downs, acknowledging that imperfections are a natural part of life. They add to your growth and resilience. Remember, seeking help when you need it is a sign of strength, not weakness. Reaching out for support shows wisdom and courage, as it means you are taking proactive steps to better your life. Trust in your ability to navigate life's challenges, and don't be afraid to lean on others when necessary.

How do you stay updated with the latest research and developments in perinatal mental health?

I prioritize continuous learning through professional development courses, attending conferences, and keeping up with the latest research publications in perinatal mental health. Being part of professional networks and communities also allows me to learn from peers and experts in the field.

What advice do you have for individuals considering a career as a Perinatal Behavioral Health Coach? 

Lead with empathy and make it a central part of your approach, while also prioritizing the understanding the unique challenges new parents face. Consider joining the Coaching Certification Program offered by FamilyWell, which emphasizes compassionate care and family support. Equip yourself with patience and excellent listening skills, and be ready for continuous learning. Above all, nurture a genuine passion for empowering and supporting families during this transformative period.

How do you manage your own well-being and mental health while supporting others through such a significant period in their lives?

I place a high importance on spending quality time with my family, engaging in regular exercise, and participating in activities that genuinely make me feel fulfilled and recharged. I strongly believe that maintaining a healthy balance between work and personal life is vital for my well-being, allowing me to be fully present and more effective in serving my clients. 

By dedicating time to these personal pursuits, I ensure that I am not only taking care of myself but also setting a positive example for those around me. This balance helps me manage stress and enhances my ability to focus on my professional responsibilities, ultimately benefiting both my personal life and my work.

Read More Day in the Life blog posts from our coaches:

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